Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,032.93 / $9,859.00	Facility		$100.00	$3,032.93	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,049.06 / $1,376.52 / $3,032.93	Professional		$1,049.06	$1,376.52	$3,032.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,235.10 / $1,991.29 / $2,917.55	Professional		$1,235.10	$1,991.29	$2,917.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,333.46 / $2,171.96 / $3,140.15	Professional		$1,333.46	$2,171.96	$3,140.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,180.52 / $2,341.92 / $3,888.75	Professional		$1,180.52	$2,341.92	$3,888.75
United Facility/Professional Facility Modifier Low / Median / High Price $11,155.00 / $11,155.00 / $11,155.00	Facility		$11,155.00	$11,155.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,145.55 / $1,739.06 / $3,060.50	Professional		$1,145.55	$1,739.06	$3,060.50
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $804.92 / $885.41 / $1,126.89	Professional		$804.92	$885.41	$1,126.89